Kenjack Medical Llc

LBN: Kenjack Medical Llc
Kenjack Medical Llc is an health care organization with primary practice located at 951 W 21St St , Norfolk VA 23517-1534. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kenjack Medical Llc can be contacted via phone (757) 274-4452, or through Kelly, Garrett M via phone (757) 274-4452.

Contact Information

Primary practice address
951 W 21St St Norfolk VA 23517-1534
Phone: (757) 274-4452
Fax: (757) 531-7723
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Garrett M Doctor of Osteopathy (DO)
Phone: (757) 274-4452

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102036923 Virginia

Profile Details

NPI number 1528423555
LBN Legal business name Kenjack Medical Llc
DBA Doing business as
Authorized official Kelly, Garrett M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2015
Last updated May 1st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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